A influência do acompanhamento farmacoterapêutico na ades?o à terapia anti-hipertensiva e no grau de satisfa??o do paciente

摘要

O objetivo desta pesquisa foi proporcionar o servi?o de Acompanhamento Farmacoterapêutico a pacientes hipertensos usuários da Farmácia Popular de Alfenas (MG), além de avaliar a ades?o do usuário aos medicamentos antes e após o SF e o grau de satisfa??o com o servi?o prestado. O trabalho foi realizado com 27 pacientes de ambos os sexos e com faixa etária entre 40 e 70 anos ou mais. Os pacientes foram divididos em grupo controle e teste, ambos responderam ao questionário de ades?o no início do estudo e, ao final, apenas os pacientes do grupo teste o fizeram. Os pacientes do grupo teste receberam Acompanhamento Farmacoterapêutico durante dez meses (2008) e, ao final desse período, responderam o questionário de satisfa??o pelo servi?o. Um dos motivos mais importantes para a n?o ades?o foi o esquecimento de administrar o medicamento (67% para ambos os grupos). Outros fatores, como a falta de informa??o sobre a doen?a e a n?o compreens?o sobre como utilizar os medicamentos, foram sanados com a interven??o farmacêutica. Dos pacientes participantes desta pesquisa, 80% achavam importante o trabalho conjunto do farmacêutico com o médico e 100% disseram que continuariam a utilizar o servi?o prestado e o indicariam a amigos e parentes. Os dados sugerem que as interven??es farmacêuticas foram efetivas no sentido de aumentar a ades?o no grupo que recebeu AF e que os pacientes ficaram satisfeitos com o servi?o prestado. Palavras-chave: Ades?o. Satisfa??o. Acompanhamento farmacoterapêutico. Hipertens?o. ABSTRACT Influence of pharmacotherapeutic follow-up on patient compliance and satisfaction with antihypertensive therapy This research was designed to provide a Pharmacotherapeutic Follow-up (PF) service to hypertensive patients who attend the Popular Pharmacy in Alfenas (Minas Gerais, Brazil) and to assess user adherence to medication before and after the PF and the degree of satisfaction with the service rendered. This study was carried out with 27 patients of both sexes, aged 40 years and above. The patients were divided into two groups, control and test; all patients answered the adherence questionnaire at the beginning of the study and, at the end, only those in the test group. The patients in the test group received PF for ten months (2008) and, at the end of this period, they were asked to complete a questionnaire regarding their satisfaction with the service. One of the commonest reasons given for non-adherence to medication was forgetfulness (67% for both groups). Other problems, such as lack of information on the disease and poor understanding of how to take the medicines, were solved by pharmaceutical intervention. According to 80% of the patients involved, this teamwork between pharmacist and physician is important, and 100% reported they would continue to use the service and would recommend it to friends and relatives. The data suggest that pharmaceutical interventions were effective in improving adherence to medication among patients in the group that received PF and that the patients were satisfied with the service given.